- The disc is a soft structure that acts as an intervertebral pad. Round shaped, it consists of a gelatinous substance surrounded by resistant ligaments. Due to weakness and cracking of the ligament ring, occurring gradually or suddenly, the nucleus can infiltrate and exert pressure on the surrounding structure, including the spinal cord and nerves (98% L4-L5 -S1).
- Accumulated trauma in the lower back, often associated with an innocuous movement.
- It often follows a minor incident in flexion or torsion, for example: tying his shoes or picking up something on the floor.
- Poor technique in prolonged sitting or when lifting a load.
- Often a history of lumbar pain.
- Family history of lower back pain or disc problems.
- Underlying conditions affecting the back (eg spondylolysis)
- Back surgeries in the past.
A healthy lifestyle
Exercise regularly and warm up before starting physical activity. This is the best way to maintain the strength and flexibility of the back. Pay special attention to the muscles of the abdomen and back, which supports the spine.
Maintain a healthy weight or lose weight if you are overweight.
To reserve moments of relaxation.
Stay conscious of their posture at all times. His back is straight, his eyes straight, his shoulders back.
To lift a heavy object, do not tilt the torso forward and avoid torsional movements. Crouch down by bending your knees while keeping your back straight, and stand up holding the object close to your body.
To shovel snow, keep your back as straight as possible. To do this, place your hand near the metal plate, bend your knees to pick up the snow, use the knee as a lever when the load is heavy and avoid twisting the back when shoveling snow.
- Control of pain and inflammation using neurocryotherapy and kinesio taping, anti-inflammatory, muscle relaxants or analgesics.
- Rest and ice (20 minutes / 2 hours)
- Vertebral manipulation and traction.
- Soft tissue work (Active Release Techniques and Graston)
Surgery; Varies from one person to another.
This condition is usually treated in 6 weeks with appropriate preservative treatments (80% improves in 6 weeks). On the other hand, waiting several weeks before treatment begins, the treatment may be longer and the patient may have sequelae (persistent pain, recurrence, etc.).
WARNING ! If numbness or weakness in the arm is accentuated or incontinence problems occur, consult your doctor immediately.